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Courses

Course Group

Course Name *	Duration	Course Fee

Subtotal: 0.00

Discount (-): 0.00

Total: 0.00

Personal Information

Name *

Phone *

+88

Emergency Contact Number

+88

CDC No.

ID No

ID Issue Date

Trade

Passport No.

NID No.

Email

Date Of Birth *

Place Of Birth *

Nationality

Height

Weight

Identification Mark

Eye's Colour

Gender

Student Photo

Guardian Details

Father Name *

Father Phone

+88

Father Occupation

Mother Name *

Mother Phone

+88

Mother Occupation

If Guardian Is

Father

Mother

Other

Guardian Name

Guardian Relation

Guardian Email

Guardian Phone

+88

Guardian Occupation

Guardian Address

Student Address Details

If Guardian Address is Current Address

Present Address

If Permanent Address is Current Address

Permanent Address

Education Qualification

Name of Exam	Passing Year	Name of Institute	Board	Group	Result / GPA

Sea Services

Name of Vessel	Type of Vessel	Rank	S/On	S/Off	IMO	GRT	DWT	Duration